Provider Demographics
NPI:1528869120
Name:AGUILAR, JEX M
Entity type:Individual
Prefix:
First Name:JEX
Middle Name:M
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 DIGGES LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-7184
Mailing Address - Country:US
Mailing Address - Phone:661-238-7008
Mailing Address - Fax:661-412-4347
Practice Address - Street 1:102 18TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4925
Practice Address - Country:US
Practice Address - Phone:661-238-7008
Practice Address - Fax:661-412-4347
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD6609280343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)